OrganizationActive
Vintage Compounding Pharmacy LLC
NPI 1457030900 · Compounding Pharmacy · Albuquerque, NM
Vintage Compounding Pharmacy LLC is a Compounding Pharmacy organization in Albuquerque, NM (NPI 1457030900).
Provider details
- NPI number
- 1457030900
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mohammad Zamanian, Pharm.d, Rph(505) 620-4352
Specialties & taxonomies
Suppliers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9821 Montgomery Blvd Ne Ste a
Albuquerque, NM 87111-3571
Phone: (505) 620-4352
Street-level locationGet directions
Mailing address
9821 Montgomery Blvd Ne Ste a
Albuquerque, NM 87111-3571
Other names (DBA / former)
- Doing business as
- Vintage Compounding Pharmacy
Registry dates
- Enumerated
- 2023-07-12
- Last updated
- 2023-07-20
- Certified
- 2023-07-20
Frequently asked questions
- What is Vintage Compounding Pharmacy LLC's NPI number?
- Vintage Compounding Pharmacy LLC's National Provider Identifier (NPI) is 1457030900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vintage Compounding Pharmacy LLC?
- Vintage Compounding Pharmacy LLC is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Vintage Compounding Pharmacy LLC located?
- Vintage Compounding Pharmacy LLC's practice location on file with NPPES is 9821 Montgomery Blvd Ne Ste a, Albuquerque, NM 87111-3571.
- What is Vintage Compounding Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Vintage Compounding Pharmacy LLC is (505) 620-4352.
- Who is the authorized official for Vintage Compounding Pharmacy LLC?
- The authorized official listed on Vintage Compounding Pharmacy LLC's NPPES record is Mohammad Zamanian, Pharm.d, Rph. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vintage Compounding Pharmacy LLC's NPI active?
- Yes — Vintage Compounding Pharmacy LLC's NPI (1457030900) is active in the NPPES registry as of the last update on 2023-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.